HomeMy WebLinkAboutCC 12 CLAIM #87-5 03-16-87TO:
FROH:
SUBJECT:
HONORABLE HAYOR AND CITY COUNCIL
CITY A~'I'ORNE Y
CLAINANT: BRIAN JANES WARTNAN; D/L.-
W/CITY: 1/14/87; CLAIH NO: 87-§;
~146 m.~a
10/6/86; DATE FILED
CARL WARREN FILE NO.'~
After investigation and review it is recommended that the above-
referenced claim be rejected and the City Clerk directed to give
proper notice of the rejection to the claimant and to the
claimant's attorney.
City Attorney
JGR(F4.se)
Enclosure:
Copy of Claim
'CLAIM AGAINST THE CITY OF TUSTIN
(For Damages to Persons or Personal Property)
Received by via
U. S. Mail
RECEIVED
JAN
Inter-office Mail
Over the Counter --(~Tu~C~ -
The law provides generally that a claim must De ~lled with the City
the City of Tustin within 100 days after which the incident or event occurred.
Be sure your claim is against the City of Tustin, not another public entity.
Where space is insufficient, please use additional paper and identify informa-
tion by paragraph number. Completed claims must be mailed or delivered to the
City Clerk, The City of Tustin, 300 Centennial Way, Tustin, California 92680
TO THE HONORABLE MAYOR AND CITY COUNCIL, City of Tustin, California:
The undersigned respectfully submits the following claim and information rela-
tive to damage to persons and/or personal property:
NAME OF CLAIMANT: BRIAN JAMES WORTMAN
a. ADDRESS OF CLAIMANT: £
b. PHONE NO: ( C. DATE OF BIRTH:
SOCIAL DRIVERS
d. SECURITY NO: e. LICENSE NO:
Name, telephone and post office address to which claimant desires notices
to be sent, if other than above:
Same as above
¸3.
This claim is submitted against:
a. The City of Tustin only.
b. The following employee(s) of the City of Tustin only:
The City of Tustin and the following employee(a) of the
City of Tustin only:
Tustin Police Officer Kreyling; Tustin Police Officer
men~es
4. Occurrence or event from which the claim arises:
a. DATE: !0{6/B6 b. 'TIME: 1:29 a.m. c. PLACE (Exact
and specific location): 15401 Williams, %!36 Tustin. CA 92680
d. How and under what circumstances did damage or injury occur? Specify
the omission you claim c
jury or damage (Use additional paper if necessa
Officers sicked Axei on Brian Wcr~man whc had been asleep cutside his Mom's
house. 'wortman was unarmed and non-violent, but the officers failure to call
off the do~ whlch severely bit Wcr=man's r~. and left ieus? recuirinc
paramedics and hospital stitches.
e. What particular action by the City, or its employees, caused the
alleged damage or injury?
Tustin Police Department offic~ hav~? c~n~ ~?~- ~w~,-~-o. :peci=ica~V
Officers Krevlinc and Mende~ failed tc ca~ c== ~h~ ~c ^-~ ft k~
c~ve~ed Wer=man ins~ea~ ,n~ ~ w~m . ~_~C~-= - ~
~lS wnl!e ~S mo~er Deqc_. o~_ce_s _o ct=_ c_~ th ... :
able to identify Brian as her son to the officer. The officers shouted ~o th~
'5. Give a description of the injury, property damage or loss so far as is
known at the time of this claim. If there were no injuries, s%~te "no
injuries".
laceration of the right knee area and left thiah intQ ~be buttock area.
the lat~te~ required mu%timle stitches.
6. Give the name(s) of the City employee(s) causing the damage or injury:
Officer Krevlinc with his doc Axel K-9: officer Mendes
7. Name and address of any other person inj.ured: none
8. Name and address of the owner of any damaged property: none
Damages claimed:
a. Amount claimed as of this date: unknown
b. Estimated amount of future costs: __unknown
c. Total amount claimed: unknown
d. Basis for computation of amounts claimed (include coples o~ all bills,
invoices~ estimates, etc.: bills recuested
10. Names and addresses of all witnesses, hospitals, doctors, etc.:
a. Health Care Center of Tustin, 'NewDort ~vd.. Tustin
b. UCI,'Or. anqe ($174.00)
c. Marqo Wort-man (mother) same address as Brian
il. Any additional information that might be helpful in considering thls c!ai~:
WARNING: IT IS A CRIMINAL OFFENSE TO FILE A FALSE CLAIM: (Penal Code
Sec=ion 72; Insurance Code Section 556.0)
I have read the ma~ters and statements made in the above claim and i know the
same ~o De true of my own knowledge, except as tc ~hose maUuers stated to De
upon information or Oelief and as to such mat~ers I Oelieve =he same %o ue urue
I certi-~y under penalty of perjury that the foregoing is TRUE AND CORRECT..
Executed this 13th day of January
, 19 86 ., at Tustln, Callfornla.
Office of the City Clerk,
Tustin, California
CLAI~ NO: ;7'~
Revised 8/05/81
JGR:se:R:8/5/81 (A)
CLAIMANT ' S SIGNATURE